A scoping review of mentorship of health personnel to improve the quality of health care in low and middle-income countries

Schwerdtle, Patricia Nayna; Morphet, Julia; Hall, Helen

doi:10.1186/s12992-017-0301-1

Cited by 92 publications

(102 citation statements)

References 29 publications

(54 reference statements)

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“…The objectives of this second phase were to i) improve the clinical capacity of MNC service providers, ii) improve the quality of management in health facilities, and iii) support referral networks. Mentoring was considered a comprehensive teaching and learning process in which senior health workers, who served as the mentors, provided personalized support to juniors, who were the mentees, based on the mentees' needs, to strengthen their ability to provide quality health care [11].…”

Section: Introductionmentioning

confidence: 99%

“…Different mentoring models have been used in diverse country contexts for supporting clinical staff, ranging from field-based teams of mainly non-physician health workers to highly skilled mentors (specialists in obstetrics/gynaecology and paediatrics) and nurse mentors in India and Rwanda [11][12][13]. However, the effectiveness of mentoring programs for health staff is not yet well documented in the scientific literature.…”

Section: Introductionmentioning

confidence: 99%

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On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal

Goyet¹,

Rajbhandari²,

Alvarez

et al. 2020

BMC Nurs

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Background: We describe an on-site clinical mentoring program aimed at improving emergency obstetrical and newborn care (EmONC) in Nepal and assess its effectiveness on nurses' knowledge and skills. In Nepal, both the maternal mortality ratio (MMR, 239/100,000 live births) and the neonatal mortality rate (NMR, 21/1000 live births) were among the highest in the world in 2016, despite impressive progress over recent decades considering the challenging environment. Methods: From September 2016 to April 2018, three experienced nurses conducted repeated mentoring visits in 61 comprehensive or basic EmONC centers and birthing centers located in 4 provinces of Nepal. Using updated national training manuals and teaching aids, these clinical mentors assessed and taught 12 core EmONC clinical skills to their nurse-mentees. Clinical mentors worked with management mentors whose goal was to improve the nurses' working environment. We assessed whether the cohort of nurse-mentees performed better as a group and individually performed better at the end of the program than at baseline using relevant tests (chi-square test, Wilcoxon matched-pairs signed-rank test, and Kruskal-Wallis equality-of-population rank test). Results: In total, 308 nurses were assessed, including 96 (31.2%), 77 (25.0%) and 135 (43.8%) who participated in all three, two or only one mentoring session, respectively. In total, 225 (73.0%) worked as auxiliary nurse-midwives (ANMs), while 69 (22.4%) worked as nurses. One hundred and ninety five (63.3%) were trained as skilled birth attendants, of which 45 (23.1%) were nurses, 141 (72.3%) were auxiliaries and 9 (4.6%) had other positions. The proportion of ANMs and nurse-mentees who obtained a knowledge assessment score ≥ 85% increased from 57.8 to 86.1% (p < 0.001). Clinical assessment scores increased significantly for each participant, and therefore for the group. SBA-trained mentees had better knowledge of maternal and newborn care and were better able to perform the 12 core clinical skills throughout the program. Conclusions: Our study suggests that on-site clinical mentoring of nurses coupled with health facility management mentoring can improve nurses' clinical competences in and performance of maternity and newborn care. Assessing evidence of impact on patient safety would be the next stage in evaluating this promising intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal

Goyet¹,

Rajbhandari²,

Alvarez

et al. 2020

BMC Nurs

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“…Members from the 2018 to 2019 and 2019 to 2020 GEMA Executive Committee convened to appraise and describe how current GEMA efforts situate within existing knowledge in the arenas of professional development and mentorship, particularly where mentors are scarce and pathways for advancement are still being forged. Unfortunately, there is limited literature specific to the global health setting and/or focused on transnational mentorship approaches . The following sections describe activities launched or hosted at the 2019 SAEM Annual Meeting that leverage GEMA’s national and international network to provide guidance and mentorship in global emergency medicine that may not otherwise be available to trainees and junior faculty.…”

Section: Methodsmentioning

confidence: 99%

Fostering a Diverse Pool of Global Health Academic Leaders Through Mentorship and Career Path Planning

Newberry

Patel

Kayden

et al. 2019

AEM Education and Training

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Established in 2011, the Global Emergency Medicine Academy (GEMA) aims "to improve the global delivery of emergency care through research, education, and mentorship." Global health remains early in its development as an academic track in emergency medicine, and there are only a small number of global emergency medicine academic faculty in most institutions. Consequently, GEMA focused its efforts at the Society for Academic Emergency Medicine (SAEM) Annual Meeting in 2019 on developing a diverse pool of global health academics and leaders in emergency medicine. Current and previous members of the GEMA Executive Committee convened to appraise and describe how current GEMA efforts situate within existing knowledge in the arenas of professional development and mentorship. The 2019 SAEM Annual Meeting unveiled the Global Emergency Medicine Roadmap, a joint venture between GEMA and the residents and medical students (RAMS) group. The roadmap guides medical students, residents, and fellows in the exploration of global emergency medicine and career development. GEMA's mentorship roundtable complemented this effort by providing a version of speed mentoring across several critical areas: work-life balance, identifying near-peer and long-distance mentoring opportunities, negotiating with your Chair, finding funding, networking, and teaching abroad. Finally, the GEMAsponsored panel "Empowering Women through Emergency Care Development in LMICs" underscored the potential for empowering women through global emergency medicine development, including policy advocacy, inclusive research approaches, and mentorship and sponsorship. In summary, GEMA is committed to developing a diverse group of future global health leaders to guide the expansion of emergency medicine worldwide. Our work indicates critical future directions in global emergency medicine education and training including building innovative mentoring networks across institutions and countries. Further, we will continue to focus on growing faculty diversity, empowering underrepresented populations through emergency care development, and supporting rising global emergency medicine faculty in their pursuit of advancement and promotion.From the

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“…Both coaching and mentoring are flexible training methods that can be learnt on the job, although with different objectives. When coaching, the coach, a responsible clinician, enables her students to achieve specific short-term goals by instructing them, while still assuming responsibility for patient care 21. Mentoring implies a longer relationship between a mentor and a mentee, based on mutual trust and respect, and true partnership, only possible once confidence is built between them 21.…”

Section: Interventions Aiming To Improve the Systems’ Environmentmentioning

confidence: 99%

Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia

2019

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Improving the quality of maternal and child healthcare (MCH) is a mandatory step on the path to reaching the Sustainable Development Goals and Universal Health Coverage. Quality improvement (QI) in MCH is a strong focus of the bilateral development cooperation provided by Germany to help strengthen the health systems of countries with high maternal and child mortality rates and/or with high unmet needs for family planning. In this article, we report on the findings of an analysis commissioned by a community of practice on MCH, of Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ). The objectives were to review the QI interventions implemented through programmes which have received technical assistance from GIZ on behalf of the German Federal Ministry for Economic Cooperation and Development in 14 Asian and African countries, to identify and describe the existing approaches and their results, and finally to draw lessons learnt from their implementation. Our analysis of the information contained in programme documents and reports identified five main methodologies used to improve the quality of care: capacity-building and supervision, governance and regulation, systemic QI at facility level, support to infrastructures, and community support. It is difficult to attribute the observed progresses in maternal and neonatal health to a particular agency, programme or intervention. We acknowledge that systemic implementation research embedded within the programmes would facilitate an understanding of the determinants of successful QI interventions, would better assess their effectiveness, and therefore better guide future bilateral aid programmatic decisions.

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A scoping review of mentorship of health personnel to improve the quality of health care in low and middle-income countries

Cited by 92 publications

References 29 publications

On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal

On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal

Fostering a Diverse Pool of Global Health Academic Leaders Through Mentorship and Career Path Planning

Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia

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